透過社會網路強化病患的服藥遵從性 印尼人

Abstract

堅持服藥是一個多因素和多方面的問題。有沒有一個單一的補救措施或干預，可以完全解決這個障礙。智能手機技術，提供了許多干預功能，可以用來幫助患者和衛生保健提供者提高藥物服用行為。本研究旨在探索更多有關非粘附問題和方法來解決這些問題，特別是討論的社交網絡支持的智能手機功能干預的背景下介入解決辦法。一種自我管理的調查問卷進行收集數據。總受訪者是從3個不同城市的受訪印尼169。女（0.43）的依從率比男性（0.56）低。根據人口特徵，如粘附率：教育程度和年齡水平無差異顯著。認知和行為問題仍然是不依的最常見的問題。認知干預，如健康素養和教育病人也仍然被認為是解決非粘附的重要途徑。社交網絡的支持，可以為患者提供心理和技術救濟有望幫助他們改善他們的堅持。提供替代藥物的用藥偏好是印尼人非常重要。 表明社會支持非粘附因子和由受訪者認為干預功能的研究是不那麼重要的因素，也沒有那麼重要的特徵。一套解決辦法在智能手機應用的特點干預本研究以解決多維非粘附問題提出的形式。這項研究有望成為踏腳石在未來發展上，解決多因素非粘附問題，並幫助病人改善他們的服藥依從性的移動設備更好的技術為基礎的干預。 關鍵詞：堅持服藥，非粘附因素，干預的解決方案，社交網絡支持。

Medication adherence is a multifactor and multifaceted issue .There is no a single remedy or intervention that can entirely fix this disorder. Smartphone technology offers many intervention features that can be designed to help patients and health care providers improve medication taking behavior. This study aims to explore more about non-adherent problems and approaches to address those problems, and in particular to discuss approach of social network support as intervention solution in the context of smartphone intervention features. A self-administered survey questionnaire was performed to collect the data. Total respondent is 169 of Indonesian respondents from 3 different cities. Adherence rate of female (0.43) is lower than male (0.56). Adherence rate based on demographic characteristics such as : educational level ,and age level showed no significant difference. Cognitive and behavioral issue are still be most common problems of nonadherence. Cognitive intervention such as health literacy and education for patient is also still considered the important approach to solve non-adherent. Social network support can providing patients both psychological and technical relief that expected to help them improving their adherence. Providing alternative medication as preference medication is quite important for Indonesia people. The study shown that social support as the non-adherent factor and as the intervention feature considered by respondents is not so important factor and also not so important features. A set of solution approaches in the form of intervention features of smartphone application is proposed in this study to address multidimentional non-adherent problems. This research is expected to be a stepping-stone in the future to develop better technology-based intervention on mobile device that address multifactor non-adherent problems and to help patient improving their medication adherence. Keywords: Medication adherence, non-adherent factors , intervention solution , social network support .